학술논문
FSGS permeability factor-associated nephrotic syndrome: remission after oral galactose therapy
Document Type
Academic Journal
Source
Nephrology Dialysis Transplantation. Sep 01, 2009 24(9):2938-2940
Subject
Language
English
ISSN
0931-0509
Abstract
Some cases of nephrotic syndrome in focal and segmental glomerulosclerosis (FSGS) are associated with a circulating factor, the FSGS permeability factor (FSPF). Galactose has a high affinity for FSPF, and experimental data suggest that it could reduce its activity. We describe the case of a 48-year-old male with a nephrotic syndrome found to be resistant to corticosteroids, immunosuppression and plasmaphaeresis. The patient was given oral galactose as a last resort treatment, which was followed by a remission of his nephrotic syndrome that correlated with a reduction of FSPF activity. This case is the first report of a long-standing remission of an FSPF-associated nephrotic syndrome on oral galactose therapy.